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Inspection Summary


Overall summary & rating

Good

Updated 17 January 2018

Nightingale Court is a residential care home for 43 older people who may have a diagnosis of dementia. At the time of our inspection there were 41 people living at the home.

At the last inspection the service was rated Good. At this inspection we found the service remained Good with a rating of Outstanding in Responsive. At this inspection we found improvements in the commitment and individualised approach to responding to people’s ambitions showed by the registered manager and staff, provided clear therapeutic benefits for people living with dementia which was outstanding.

The management staff team were highly committed to ensuring people’s lifestyle choices were responded to with careful planning so people could succeed in their different ambitions. People were encouraged to maintain or develop interests which held important meaning in their lives so people were not disadvantaged because of their mental health needs.

People’s end of life care needs were met by staff who were committed in working alongside healthcare professionals. This assisted people to access therapeutic interventions to support people with their experiences. People also had opportunities to make their end of life care wishes known so there was no risk of these not being followed at this important time of their lives.

People maintained positive links with their community which enhanced their lives. People were encouraged to retain relationships important to them and develop friendships. People's religious and spiritual needs were recognised and embraced which supported people to continue to practice their religions and meet their spiritual needs in ways they wished to do so.

People who lived at the home and their relatives worked in partnership with staff to plan their care. Care records were personalised and contained detailed information about what was important to people. There was a consistent staff team who knew and respected people as individuals and provided extremely responsive care which put people at the heart of all the care offered.

People who lived at the home and their relatives were encouraged and felt confident to voice their views and opinions. The registered manager listened to what people had to say and took action to resolve any issues. There were systems in place for handling and resolving complaints which focused upon opportunities for learning lessons.

Staff cared for people with kindness, patience and understanding. Staff had time to meet people's needs and to spend time in conversations with people individually, without rushing. People were provided with care which was respectful, dignified and took into account people’s right to privacy and confidentiality.

Staff listened to people and had a detailed understanding of their needs and preferences. This supported staff to assist people in having positive dining experiences at the home and staff were aware of people's dietary requirements.

People were supported to make safe choices in relation to taking risks in their day to day lives which helped people to maintain their own levels of independence. This was because staff made sure people had the equipment and aids they required to meet their needs. Staff had been trained and understood how to support people in a way which protected them from harm and abuse. There were arrangements in place to make sure staff were trained and competent in medicine administration which reduced risks to people’s safety and welfare.

Staff received regular training which provided them with the knowledge and skills to meet people's needs in an effective, responsive and personalised way. The management team supported staff to gain additional knowledge within their various champion roles to promote a greater awareness and understanding of the diverse needs of people who they provided care and support to.

The management team and staff shared common values about the aims and objectives of the service people were provided. These were based arou

Inspection areas

Safe

Good

Updated 17 January 2018

The service remains Good.

Effective

Good

Updated 17 January 2018

The service remains Good.

Caring

Good

Updated 17 January 2018

The service remains Good.

Responsive

Outstanding

Updated 17 January 2018

The service has improved to outstanding.

People were highly complementary about the responsiveness of staff in supporting them to meet their diverse needs. Staff were committed to jointly work with healthcare professionals so people�s end of life care needs were thoroughly responded to in a flexible and timely way. People�s lifestyle choices were embraced by staff who had �can do� attitudes to support people to aim high and accomplish their ambitions. Staff worked in partnership with people to ensure their care records were personalised to each person. People had many varied opportunities to have fun with staff who were highly motivated in pursuing new experiences for people to try. Staff supported people to maintain links with their local community which brought different relationships into people�s lives. People were supported to make a complaint with watchful staff who knew people well and learning from people�s suggestions was taken to continually improve care.

Well-led

Good

Updated 17 January 2018

The service remains Good.